To advance its mission, the department provides a supportive environment for professional training and development. The Department of Pharmacy participates in the American Society of Health-System Pharmacists (ASHP) Residency program. Three ASHP-accredited residency training programs are offered including a PGY-1 pharmacy practice residency and two specialty PGY-2 residencies in Critical Care and Oncology/Hematology. Stanford pharmacists also precept pharmacy students on clerkship rotations.

Inpatient Pharmacy Services

Inpatient pharmacy services to SHC are provided by clinical pharmacists 24 hours a day, 7 days a week. Inpatient distribution is done primarily through automated dispensing cabinets (Pyxis) on all nursing units which interface with the clinical information system. The clinical pharmacist must have reviewed the order before the nurse can obtain the dose for administration.

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Pharmacy Locations

The Pharmacy Department provides services via eleven pharmacy satellites, including the Cancer Center and Stanford Medicine Outpatient Center (SMOC). Each acute care service has a pharmacist available on pager assigned to cover the area on a daily basis.

Clinical Pharmacists' Responsibilities

Screening new orders for potential problems such as drug allergies, drug/food interactions, intravenous (IV) incompatibilities, and the need for dose adjustments. Physicians are informed of potential problems and alternatives.

Round with many of the medical teams to provide drug information and collaboratively monitor patients' responses to their medications.

Actively involved in monitoring antibiotic therapy, total parenteral nutrition (TPN) therapy, IV therapy, and any medications that require additional laboratory monitoring such as warfarin and phenytoin.

Many of our clinical pharmacists also precept pharmacy students and residents.

Inpatient Formulary

The hospital formulary promotes the objective evaluation, selection, and use of medications as a basis for rational drug therapy. The SHC drug formulary is a continually revised compilation of drugs that reflects the current clinical judgement of the medical staff as communicated through the Pharmacy and Therapeutics Committee of the Medical Board. The formulary makes available for use at SHC those drugs considered to be safe and effective while minimizing therapeutic duplication. The online formulary is accessible from any hospital workstation via LexiComp.

Ambulatory Care Services

The Oral Anticoagulation Clinic (OAC) at SHC offers a comprehensive range of patient-focused pharmacy services. The goal of the clinic is to optimize patients' anticoagulation therapy with warfarin and to bridge patients with a low molecular weight heparin while transitioning to warfarin. Patients are carefully monitored and followed via on-site visits or through phone calls using an established anticoagulation protocol.

Investigational Drugs Service

The Stanford pharmacy also works in conjunction with physicians and researchers on investigational new drug trials in conformance with legal and accreditation requirements.
All investigational drugs are monitored and documented by the investigational drug pharmacist.